| NPI | 1205880747 |
|---|---|
| Doing Business As | ELEVATE FUNCTIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RIZAN A HAJAL Owner/Operator 605-271-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: SD 5028) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: SD 5028) | |
| 261QM2500X Clinic/Center Medical Specialty | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 5028) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2021-04-22 |